Perhexiline maleate-induced hepatitis

Digestion. 1978;17(5):419-27. doi: 10.1159/000198145.


5 patients treated with perhexiline maleate, 200-400 mg/day for at least 6 months, exhibited evidence of hepatitis. The picture was very similar to acute alcoholic hepatitis, clinically, biologically and histologically with presence of necrosis, Mallory's hyaline, polynuclear infiltration and to a lesser degree, steatosis. Association with peripheral neuropathy, hypoglycemia, and renal failure appears strikingly frequently. The evolution was severe since 3 patients died within 6 months, even after treatment withdrawal. Further studies are to be done to understand the mechanisms of hepatic and neurologic toxicity, and to measure the hazards of this drug. These studies could bring a new insight to alcohol toxicity.

Publication types

  • Case Reports

MeSH terms

  • Aged
  • Chemical and Drug Induced Liver Injury* / blood
  • Chemical and Drug Induced Liver Injury* / pathology
  • Female
  • Humans
  • Liver / drug effects*
  • Liver / pathology
  • Male
  • Middle Aged
  • Perhexiline / administration & dosage
  • Perhexiline / adverse effects*
  • Perhexiline / therapeutic use
  • Piperidines / adverse effects*
  • Time Factors


  • Piperidines
  • Perhexiline